Factors associated with self-efficacy for managing recovery in the trauma intensive care population: a prospective cohort study

Connolly, Fiona R., Aitken, Leanne M., Tower, Marion and Macfarlane, Bonnie (2014) Factors associated with self-efficacy for managing recovery in the trauma intensive care population: a prospective cohort study. Injury, 45 1: 272-278. doi:10.1016/j.injury.2013.05.005

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Author Connolly, Fiona R.
Aitken, Leanne M.
Tower, Marion
Macfarlane, Bonnie
Title Factors associated with self-efficacy for managing recovery in the trauma intensive care population: a prospective cohort study
Journal name Injury   Check publisher's open access policy
ISSN 0020-1383
1879-0267
Publication date 2014-01-01
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.injury.2013.05.005
Open Access Status DOI
Volume 45
Issue 1
Start page 272
End page 278
Total pages 7
Place of publication London, United Kingdom
Publisher Elsevier
Language eng
Formatted abstract
Objective: The aim of this paper was to identify factors associated with self-efficacy for managing recovery in the trauma intensive care population.

Introduction: 
Injury accounts for 6.5% of disease burden in Australia, with similar levels being reported in other developed countries. While some studies regarding self-efficacy have identified a relationship to patient recovery post acute injury, others have been inconclusive. This study will identify factors associated with self-efficacy for managing recovery in the trauma intensive care population.

Methods:  
A prospective cohort study of patients aged ≥18 years, admitted to a metropolitan tertiary hospital in South East Queensland between June 2008 and August 2010 for the acute treatment of injury. Demographic, injury, acute care and psychosocial factors were considered. The primary outcome was self-efficacy measured by the 6-item self-efficacy scale (SES) 1 and 6 months post hospital discharge. All factors significant (p < 0.10) on univariate analysis were included in multivariable modelling where p < 0.05 was considered significant.

Results:  
A total of 88 patients were included. The mean self-efficacy score at 1 and 6 months was similar (6.8 vs 6.9 respectively). Self-efficacy at 1 month, psychological distress (K-10) Score and illness perception (K10) Score accounted for 68.4% (adjusted R2) of the variance in 6 month self-efficacy (F3,75) = 57.17, p < 0.001. Illness perception was the strongest contributor to 6 month self-efficacy (beta = -0.516), followed by psychological distress (beta = -0.243) and self-efficacy at 1 month (beta = 0.205).

Conclusion:  
Significant factors associated with self-efficacy for managing recovery at 6 months included 1 month self-efficacy, illness perception and psychological distress. To promote patient recovery, screening patients at 1 month in order to commence relevant interventions could be beneficial.
Keyword Injury
Intensive care unit
Nurses
Nursing
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
 
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